DR. RACHELLE ELIZABETH HANSEN (PHD) – Psychologist, NPI 1487023826

DR. RACHELLE ELIZABETH HANSEN (PHD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. LP5911 (MN). The NPI Number for DR. RACHELLE ELIZABETH HANSEN (PHD) is 1487023826

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. RACHELLE ELIZABETH HANSEN (PHD)
NPI
1487023826
Phone
(612) 672-6999
Address
3400 W 66TH ST
Enumeration Date
16 September 2015
Last Update Date
4 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128863706
Graduation Year
2014 (12 years ago)
PAC ID
5890004725
Group Practice PAC ID
1951675321
Professional Enrollment ID
I20151015002461
Address ID
MN554232691RI6625XSXXX402
Telehealth
Yes

Contacts

Secure Messaging
rhansen364320@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DR. RACHELLE ELIZABETH HANSEN (PHD)

  • 3400 W 66TH ST

    SUITE 400

    MINNEAPOLIS, MN 554352111

    Phone: (612) 672-6999

    Type: Location

  • 5637 COLFAX AVE S

    MINNEAPOLIS, MN 55419

    Phone: (701) 741-7830

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-4400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151015002461IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951675321View full group profile
NameSpecialtyState
-MN
Clinical PsychologistMN
Occupational Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Can I verify DR. RACHELLE ELIZABETH HANSEN (PHD) with an NPI only?
You can start verification with NPI 1487023826 for DR. RACHELLE ELIZABETH HANSEN (PHD), then check state licensing separately.
Can I rely on DR. RACHELLE ELIZABETH HANSEN (PHD) being an active provider?
As of the registry snapshot, DR. RACHELLE ELIZABETH HANSEN (PHD) is marked active.
What is DR. RACHELLE ELIZABETH HANSEN (PHD)'s primary classification?
Psychologist is the headline specialty for DR. RACHELLE ELIZABETH HANSEN (PHD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RACHELLE ELIZABETH HANSEN (PHD) on a map?
Expect Minneapolis, Minnesota as a primary anchor for DR. RACHELLE ELIZABETH HANSEN (PHD) unless the record lists multiple sites.
Is the information about DR. RACHELLE ELIZABETH HANSEN (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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